Health  Vol.9 No.8 , August 2017
The Effects of Functional Training on Pain, Function, and Performance in Taekwondo Players with Mechanical Low Back Pain
Abstract: Background: The aim of this study was to assess the effects of functional training (FT) on pain, function, and performance in elite male taekwondo players with CMLBP. Method: 27 elite male taekwondo players (mean ± standard deviation: age 24.4 ± 4.9 years, body mass 75.7 ± 15.1 kg, height 181.4 ± 7.8 cm) were allocated to two experimental (n = 15) and control (n = 12) groups. The eight-week FT was divided into four distinct phases for the subjects of the experimental group. Variables of pain and function were assessed by Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI), respectively. The movement time of Ap Douliou Chagi kick (MTAK) and speed of Ap Douliou Chagi kick (SAK) was used for the variable of performance. Results: Considering the results of pretest before the implementation of the scores protocol, after FT intervention, VAS (p = 0.004), ODI (p = 0.005), MTAK on the right leg (p = 0.029) and the left leg (p = 0.013) decreased and SAK on both legs (p = 0.000) increased significantly in comparison with the control group. Conclusion: It is assumed that FT can reduce the pain intensity and improve the function and performance in taekwondo players.
Cite this paper: Rabiei, P. , Namin, B. , Nasermelli, M. , Marjomaki, O. and Mazloum, V. (2017) The Effects of Functional Training on Pain, Function, and Performance in Taekwondo Players with Mechanical Low Back Pain. Health, 9, 1176-1189. doi: 10.4236/health.2017.98085.

[1]   Zhang, Y., Tang, S., Chen, G. and Liu, Y. (2015) Chinese Massage Combined with Core Stability Exercises for Nonspecific Low Back Pain: A Randomized Controlled Trial. Complementary Therapies in Medicine, 23, 1-6.

[2]   O’Sullivan, P. (2005) Diagnosis and Classification of Chronic Low Back Pain Disorders: Maladaptive Movement and Motor Control Impairments as Underlying Mechanism. Manual Therapy, 10, 242-255.

[3]   Norris, C. and Matthews, M. (2008) The Role of an Integrated Back Stability Program in Patients with Chronic Low Back Pain. Complementary Therapies in Clinical Practice, 14, 255-263.

[4]   Powers, C.M., Beneck, G.J., Kulig, K., Landel, R.F. and Fredericson, M. (2008) Effects of a Single Session of Posterior-to-Anterior Spinal Mobilization and Press-Up Exercise on Pain Response and Lumbar Spine Extension in People with Nonspecific Low Back Pain. Physical Therapy, 88, 485-493.

[5]   Kachanathu, S.J., Alenazi, A.M., Seif, H.E., Hafez, A.R. and Alroumim, A.M. (2014) Comparison between Kinesio Taping and a Traditional Physical Therapy Program in Treatment of Nonspecific Low Back Pain. Journal of Physical Therapy Science, 26, 1185-1188.

[6]   Lizier, D.T., Perez, M.V. and Sakata, R.K. (2012) Exercises for Treatment of Nonspecific Low Back Pain. Brazilian Journal of Anesthesiology, 62, 838-846.

[7]   Bono, C.M. (2004) Low-Back Pain in Athletes. Journal of Bone & Joint Surgery— American, 86, 382-396.

[8]   Kazemi, M. and Pieter, W. (2004) Injuries at a Canadian National Taekwondo Championships: A Prospective Study. BMC Musculoskeletal Disorders, 5, 22.

[9]   Mehdizadeh, R., Rajabi, M. and Abbasi, S. (2013) Prevalence of Low Back Pain among Elite Athletes. International Research Journal of Applied and Basic Sciences, 4, 329-331.

[10]   Okada, T., Nakazato, K., Iwai, K., Tanabe, M., Irie, K. and Nakajima, H. (2007) Body Mass, Nonspecific Low Back Pain, and Anatomical Changes in the Lumbar Spine in Judo Athletes. Journal of Orthopaedic & Sports Physical Therapy, 37, 688-693.

[11]   Gordon, R. and Bloxham, S. (2016) A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. In Healthcare, 4, 2-22.

[12]   Chatzitheodorou, D., Kabitsis, C., Malliou, P. and Mougios, V. (2007) A Pilot Study of the Effects of High-Intensity Aerobic Exercise versus Passive Interventions on Pain, Disability, Psychological Strain, and Serum Cortisol Concentrations in People with Chronic Low Back Pain. Physical Therapy, 87, 304.

[13]   Smith, J. A. and Osborn, M. (2007) Pain as an Assault on the Self: An Interpretative Phenomenological Analysis of the Psychological Impact of Chronic Benign Low Back Pain. Psychology and Health, 22, 517-534.

[14]   Page, P., Frank, C. and Lardner, R. (2010) Assessment and Treatment of Muscle Imbalance: The Janda Approach. Human Kinetics, Champaign.

[15]   Johnson, J. (2012) Functional Rehabilitation of Low Back Pain with Core Stabilizations Exercises: Suggestions for Exercises and Progressions in Athletes. All Graduate Plan B and Other Reports. 159.

[16]   Fairbank, J.C. and Pynsent, P.B. (2000) The Oswestry Disability Index. Spine, 25, 2940-2953.

[17]   Alizadeh, H., Nasermeli, M.H., Mirzaiei, B., et al. (2014) Research Project of Special Talent Taekwondo (Pilate Iranian National Plan).

[18]   Park, S.D. and Yu, S.H. (2013) The Effects of Abdominal Draw-In Maneuver and Core Exercise on Abdominal Muscle Thickness and Oswestry Disability Index in Subjects with Chronic Low Back Pain. Journal of Rehabilitation, 9, 286-291.

[19]   Notarnicola, A., Maccagnano, G., Tafuri, S., Pesce, V., Digiglio, D. and Moretti, B. (2015) Effects of Training on Postural Stability in Young Basketball Players. Muscles, Ligaments and Tendons Journal, 5, 310.

[20]   Akuthota, V., Ferreiro, A., Moore, T. and Fredericson, M. (2008) Core Stability Exercise Principles. Current Sports Medicine Reports, 7, 39-44.

[21]   Hwangbo, G., Lee, C.W., Kim, S.G. and Kim, H.S. (2015) The Effects of Trunk Stability Exercise and a Combined Exercise Program on Pain, Flexibility, and Static Balance in Chronic Low Back Pain Patients. Journal of Physical Therapy Science, 27, 1153-1155.

[22]   Norris, C. (2011) Managing Sport Injuries. Livingstone Elsevier, Churchill.

[23]   Clark, M., Lucett, S., Eds. (2010) NASM Essentials of Corrective Exercise Training. Lippincott Williams & Wilkins, Philadelphia.

[24]   Ahmed, R., Shakil-ur-Rehman, S. and Sibtain, F. (2014) Comparison between Specific Lumber Mobilization and Core-Stability Exercises with Core-Stability Exercises Alone in Mechanical Low Back Pain. Pakistan Journal of Medical Sciences, 30, 157.

[25]   Franca, F.R., Burke, T.N., Caffaro, R.R., Ramos, L.A. and Marques, A.P. (2012) Effects of Muscular Stretching and Segmental Stabilization on Functional Disability and Pain in Patients with Chronic Low Back Pain: A Randomized, Controlled Trial. Journal of Manipulative and Physiological Therapeutics, 35, 279-285.

[26]   Malai, S., Pichaiyongwongdee, S. and Sakulsriprasert, P. (2015) Immediate Effect of Hold-Relax Stretching of Iliopsoas Muscle on Transversus Abdominis Muscle Activation in Chronic Non-Specific Low Back Pain with Lumbar Hyperlordosis. Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 98, S6-S11.

[27]   Chang, W.D., Lin, H.Y. and Lai, P.T. (2015) Core Strength Training for Patients with Chronic Low Back Pain. Journal of Physical Therapy Science, 27, 619-622.

[28]   Brukner, P. (2012) Brukner & Khan’s Clinical Sports Medicine. McGraw-Hill, North Ryde.

[29]   Hertling, D. and Kessler, R.M. (2006) Management of Common Musculoskeletal Disorders: Physical Therapy Principles and Methods. Lippincott Williams & Wilkins, Philadelphia.

[30]   Kim, M.H. and Yoo, W.G. (2013) Comparison of the Hamstring Muscle Activity and Flexion-Relaxation Ratio between Asymptomatic Persons and Computer Work-Related Low Back Pain Sufferers. Journal of Physical Therapy Science, 25, 535-536.

[31]   Kofotolis, N. and Kellis, E. (2007) Effects of Two 4-Week Proprioceptive Neuromuscular Facilitation Programs on Muscle Endurance, Flexibility, and Functional Performance in Women with Chronic Low Back Pain. Journal of Orthopaedic & Sports Physical, 37, 424.

[32]   Vasileiou, N., Michailidis, Y., Gourtsoulis, S., Kyra-noudis, A. and Zakas, A. (2013) The Acute Effect of Static or Dynamic Stretching Exercises on Speed and Flexibility of Soccer Players. Journal of Sport and Human Performance, 1, 306-315.

[33]   Myer, G.D., Ford, K.R., Palumbo, O.P. and Hewett, T.E. (2005) Neuromuscular Training Improves Performance and Lower-Extremity Biomechanics in Female Athletes. The Journal of Strength & Conditioning Research, 19, 51-60.

[34]   Cronin, J.B. and Hansen, K.T. (2005) Strength and Power Predictors of Sports Speed. The Journal of Strength & Conditioning Research, 19, 349-357.

[35]   Wang, Y.C. and Zhang, N. (2016) Effects of Plyometric Training on Soccer Players (Review). Experimental and Therapeutic Medicine, 12, 550-554.

[36]   Taheri, E., Nikseresht, A. and Khoshnam, E. (2014) The Effect of 8 Weeks of Plyometric and Resistance Training on Agility, Speed and Explosive Power in Soccer Players. European Journal of Experimental Biology, 4, 383-386.

[37]   Chmielewski, T.L., Myer, G.D., Kauffman, D. and Tillman, S.M. (2006) Plyometric Exercise in the Rehabilitation of Athletes: Physiological Responses and Clinical Application. Journal of Orthopaedic & Sports Physical Therapy, 36, 308-319.

[38]   Roach, A., Lash, D., Loomis, E., Sinnen, T. and DeYoung, M. (2014) The Effects of Exercise on Reaction Time. Journal of Advanced Student Science, 601, 1-18.